Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $36.31 / $125.89	Facility		$23.99	$36.31	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $38.02	Professional		$14.13	$15.85	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $45.71 / $95.50	Facility		$20.42	$45.71	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $18.20 / $30.20	Professional		$12.30	$18.20	$30.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.47 / $21.38	Professional		$8.32	$10.47	$21.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $10,471.29 / $25,118.86	Facility		$20.89	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.38 / $20.89	Professional		$16.98	$17.38	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $20.89 / $42.66	Facility		$9.77	$20.89	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.59 / $27.54	Professional		$8.32	$12.59	$27.54